Claims Specialist

The MCO Claims Specialist is responsible for weekly oversight of MoD performance and updates for entire claim department. The position will address all non-CorVel claims accordingly. The Claim Specialist role includes managing and retaining an assigned BoB (# of EOR and premium amount). The BoB will be comprised of lower premium employers with little to no...

OverviewWe are seeking an experienced Property Field Inspection Claim Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large losses.ResponsibilitiesAs a Property Field...

Job Summary: We are seeking a Claims Resolution Specialist to join our Auto Claims Team in a temp to hire capacity. In this role, you will play a vital part in Hanover's success by providing critical services to the business and its customers. Key Responsibilities: Perform claim processing and payment functions on non-complex claims for one or more lines of...

Job SummaryWe are seeking a skilled Outside Property Adjuster to join our team at The Hanover Insurance Group. As a key member of our claims team, you will be responsible for handling property claims requiring field investigations and/or inspections.Key ResponsibilitiesHandle personal property claims requiring outside field investigations and/or...

At Sedgwick, we're dedicated to providing exceptional service to our clients and their customers. As a Claims Examiner, you'll play a critical role in ensuring that claims are handled efficiently and effectively.Key Responsibilities:Analyze and process complex workers compensation claims to determine benefits due.Negotiate settlements within designated...

POSITION OVERVIEW: Outside property adjusters handle property claims requiring field investigations and/or inspections. They must establish rapport with our insureds and maintain relationships with our agents, underwriters, contractors, restoration vendors, and experts. They are expected to know their territory, including the geography; regulations and...

POSITION SUMMARY:The Medical Billing Specialist at Syracuse Community Health is responsible for processing claims, reviewing payments, and managing claim adjustments within the EPIC system. This role requires close collaboration with patients, front desk staff, and insurance carriers to ensure optimal submission and payment for all billable visits.KEY...

Job Summary:Staffworks is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for accurately processing medical claims, managing patient records, and ensuring compliance with regulatory requirements.Key Responsibilities:Process medical claims and manage patient recordsEnsure compliance with...

Schedule: Standard 8-hour workday, Monday-Friday. All training will be onsite.Description:As a Data Entry Specialist at US Tech Solutions, you will perform low-volume data entry, including sales order entry, and manage electronic files. You will access information from a computer and/or maintain a computer database, enter data for envelopes, labels, form...

Job SummaryData Entry Specialist needed to perform low-volume data entry, manage electronic files, and access information from a computer database. Responsibilities include entering data for envelopes, labels, form letters, and correspondence, as well as formatting and producing documents. The ideal candidate will have at least 1-2 years of experience with...

About Veracity Research CompanyVeracity Research Company (VRC) is a leading provider of insurance defense investigations, specializing in claims investigations, SIU investigations, and Vendor Management Programs. With over 29 years of experience, VRC has established a reputation for integrity and professionalism. We have a strong commitment to delivering...

Carrols Restaurant Group, headquartered in Syracuse, NY, is a subsidiary of Burger King Corporation. Carrols operates over 1,000 Burger King® locations across 23states and approximately 60 Popeyes® locations in 6 states. Carrols currently employs over 25,000 people in our restaurants and our Home Office. We’ve been in the quick service restaurant...

Carrols Restaurant Group, headquartered in Syracuse, NY, is a subsidiary of Burger King Corporation. Carrols operates over 1,000 Burger King® locations across 23states and approximately 60 Popeyes® locations in 6 states. Carrols currently employs over 25,000 people in our restaurants and our Home Office. We’ve been in the quick service restaurant...

Carrols Restaurant Group, headquartered in Syracuse, NY, is a subsidiary of Burger King Corporation. Carrols operates over 1,000 Burger King® locations across 23states and approximately 60 Popeyes® locations in 6 states. Carrols currently employs over 25,000 people in our restaurants and our Home Office. We’ve been in the quick service restaurant...

Job Summary:The Authorization Specialist at Upstate University Hospital works closely with healthcare providers, patients, and insurance carriers to ensure accurate information for maximum reimbursements. This role requires strong knowledge of medical coding, including ICD, CPT, and J codes, to effectively communicate with insurance carriers.Key...

Job SummaryThe PBM Integration Analyst plays a crucial role in supporting the configuration, testing, and maintenance of partner integrations and claim record analysis and remediation.Key ResponsibilitiesSupport the execution of all accumulator operations and interfaces from implementation through ongoing operations and maintenance.Work with new and existing...

Overview: Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS) meets with patients entering our programs to collect necessary data including insurance and other information to ensure payment for services. The PAS also...

Job Summary:The Risk Management Analyst will support non-clinical risk management activities in both inpatient and outpatient settings, with the objectives of supporting a safe environment and protecting the assets of the facility. This role will also support clinical risk work, collaborating with the Risk Manager and/or the Regional Director of Risk...

Job Summary: The ProAct PBM Integration Analyst will support the configuration, testing, and maintenance of partner integrations and claim record analysis and remediation.Responsibilities:The Integration Analyst will be responsible for working with new and existing partners in the development and administration of ProAct's core business processes related to...

Job Type Full-time Description Hematology Oncology Associates of CNY (HOACNY), voted one of Central New York's Best Places to Work, is looking for a full time Preauthorization Specialist to join our professional team. HOACNY provides cancer care services, Monday through Friday. If you are a highly motivated, team oriented individual looking to make a...